What should I do if the placenta is close to the internal cervical os?

When the placenta is close to the internal cervical os, measures such as regular prenatal checkups, reduced physical activity, avoiding uterine stimulation, preventing bleeding and infection, and adjusting the delivery plan should be taken. In most cases, the condition gradually improves as gestational age increases, so excessive anxiety is unnecessary. If symptoms such as painless vaginal bleeding or abdominal pain occur, prompt medical attention is recommended.

1. Regular prenatal monitoring: Ultrasound examinations should be performed every 4 weeks during mid-pregnancy and every 2 weeks in late pregnancy to track changes in placental position, assess cervical length and fetal development, and promptly detect abnormalities to adjust interventions accordingly.

2. Reduce physical activity: Avoid strenuous exercise, prolonged walking, and heavy physical labor to reduce abdominal pressure and traction on the uterus, minimizing the risk of bleeding caused by friction between the placenta and the internal cervical os. Bed rest may be appropriate when necessary.

3. Avoid uterine stimulation: Sexual intercourse and vaginal examinations are prohibited. Avoid deep squats, bending over, or other actions that increase abdominal pressure, to prevent uterine contractions leading to placental separation. Maintain emotional stability and reduce mental stress-induced contractions.

4. Prevent bleeding and infection: Monitor for vaginal bleeding or abnormal discharge. Keep the external genitalia clean and dry. If light bleeding occurs, immediately lie down and inform your doctor promptly to avoid worsening infection.

5. Adjust delivery plan: After 36 weeks of gestation, the physician will evaluate whether vaginal delivery or cesarean section is more appropriate based on placental position, fetal size, and maternal condition. Cesarean delivery is generally recommended if the placenta completely covers the cervical os, to reduce delivery risks.

Nutritional balance is essential during pregnancy. Increase intake of iron- and protein-rich foods to prevent anemia. Maintain a regular sleep schedule, avoid staying up late, and prevent fatigue. Strictly follow medical advice without altering activity levels or prenatal visit frequency on your own, to ensure a safe pregnancy.